Primary Biliary Cholangitis Associated with Ulcerative Colitis: Case Series and Literature Review

<i>Purpose</i>: To study the coexistence of ulcerative colitis (UC) and primary biliary cholangitis (PBC). <i>Methods</i>: The Beijing Friendship Hospital patient database was explored to identify patients presenting both UC and PBC from January 2015 to July 2024. By a review...

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Main Authors: Qi Li, Ye Zong
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/61/1/44
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author Qi Li
Ye Zong
author_facet Qi Li
Ye Zong
author_sort Qi Li
collection DOAJ
description <i>Purpose</i>: To study the coexistence of ulcerative colitis (UC) and primary biliary cholangitis (PBC). <i>Methods</i>: The Beijing Friendship Hospital patient database was explored to identify patients presenting both UC and PBC from January 2015 to July 2024. By a review of the literature, the characteristics of UC patients who experienced PBC was summarized. <i>Results</i>: We identified 890 UC patients and reported 4 individuals who suffered from UC and PBC. Compared to the general population, UC patients seem to have a higher risk of PBC. Only 28 cases of UC with PBC have been reported so far. Most patients were diagnosed with UC prior to PBC. Once UC patients are complicated with PBC, they might experience more than one extraintestinal manifestation (EIM). Shared susceptibility genes, certain bacterial infections, and common immune-mediated mechanisms may be involved in the pathogenesis of UC patients with PBC. <i>Conclusions</i>: Although the coexistence of UC and PBC is uncommon, PBC should be considered in UC patients with hepatobiliary disorders.
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spelling doaj-art-89babcd650494255be597913d149fe702025-01-24T13:40:21ZengMDPI AGMedicina1010-660X1648-91442024-12-016114410.3390/medicina61010044Primary Biliary Cholangitis Associated with Ulcerative Colitis: Case Series and Literature ReviewQi Li0Ye Zong1National Clinical Research Center for Digestive Diseases, State Key Laboratory for Digestive Health, Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, ChinaNational Clinical Research Center for Digestive Diseases, State Key Laboratory for Digestive Health, Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China<i>Purpose</i>: To study the coexistence of ulcerative colitis (UC) and primary biliary cholangitis (PBC). <i>Methods</i>: The Beijing Friendship Hospital patient database was explored to identify patients presenting both UC and PBC from January 2015 to July 2024. By a review of the literature, the characteristics of UC patients who experienced PBC was summarized. <i>Results</i>: We identified 890 UC patients and reported 4 individuals who suffered from UC and PBC. Compared to the general population, UC patients seem to have a higher risk of PBC. Only 28 cases of UC with PBC have been reported so far. Most patients were diagnosed with UC prior to PBC. Once UC patients are complicated with PBC, they might experience more than one extraintestinal manifestation (EIM). Shared susceptibility genes, certain bacterial infections, and common immune-mediated mechanisms may be involved in the pathogenesis of UC patients with PBC. <i>Conclusions</i>: Although the coexistence of UC and PBC is uncommon, PBC should be considered in UC patients with hepatobiliary disorders.https://www.mdpi.com/1648-9144/61/1/44ulcerative colitisprimary biliary cholangitisextraintestinal manifestationsliver biopsy
spellingShingle Qi Li
Ye Zong
Primary Biliary Cholangitis Associated with Ulcerative Colitis: Case Series and Literature Review
Medicina
ulcerative colitis
primary biliary cholangitis
extraintestinal manifestations
liver biopsy
title Primary Biliary Cholangitis Associated with Ulcerative Colitis: Case Series and Literature Review
title_full Primary Biliary Cholangitis Associated with Ulcerative Colitis: Case Series and Literature Review
title_fullStr Primary Biliary Cholangitis Associated with Ulcerative Colitis: Case Series and Literature Review
title_full_unstemmed Primary Biliary Cholangitis Associated with Ulcerative Colitis: Case Series and Literature Review
title_short Primary Biliary Cholangitis Associated with Ulcerative Colitis: Case Series and Literature Review
title_sort primary biliary cholangitis associated with ulcerative colitis case series and literature review
topic ulcerative colitis
primary biliary cholangitis
extraintestinal manifestations
liver biopsy
url https://www.mdpi.com/1648-9144/61/1/44
work_keys_str_mv AT qili primarybiliarycholangitisassociatedwithulcerativecolitiscaseseriesandliteraturereview
AT yezong primarybiliarycholangitisassociatedwithulcerativecolitiscaseseriesandliteraturereview